Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.25 / $624.25 / $624.25	Facility		$624.25	$624.25	$624.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.26 / $624.25 / $831.83	Professional		$513.26	$624.25	$831.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $723.38	Facility		$410.92	$410.92	$723.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $864.00 / $1,080.00	Professional		$864.00	$864.00	$1,080.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.70 / $865.09 / $3,432.45	Facility		$599.70	$865.09	$3,432.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $520.33 / $851.79	Professional		$303.33	$520.33	$851.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $601.48 / $723.38 / $1,261.99	Facility		$601.48	$723.38	$1,261.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $654.97 / $733.57 / $1,527.03	Professional		$654.97	$733.57	$1,527.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $710.50 / $831.83 / $988.76	Professional		$710.50	$831.83	$988.76
United Facility/Professional Professional Modifier Low / Median / High Price $256.88 / $437.44 / $708.25	Professional		$256.88	$437.44	$708.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $644.47 / $644.47 / $644.47	Professional		$644.47	$644.47	$644.47